Individual
TERESA KONZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N6085 STATE ROAD 32, SHEBOYGAN FALLS, WI 53085-2341
(920) 467-2223
Mailing address
PO BOX 290, SHEBOYGAN FALLS, WI 53085-0290
(920) 467-2223
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
1087875
WI
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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